title: Same-day LARC insertion attitudes and practices.
abstract: BACKGROUND
  Little is known regarding clinicians' attitudes about or the extent to which the recommendation to offer same-day insertions for long-acting reversible contraception (LARC) is applied in practice.
  
  
  METHODS
  Since 2006, 47 family planning agencies in Colorado and Iowa participated in two initiatives to reduce unintended pregnancy by increasing LARC provision. Clinic directors (n = 45) and clinicians (n = 114) participating in these initiatives were interviewed and surveyed regarding their LARC provision practices and attitudes.
  
  
  RESULTS
  Agencies required fewer visits for the contraceptive implant than for the intrauterine device (IUD). Only 18% of agencies typically offered an IUD, and 36% typically offered an implant in one visit. Years of experience and professional title significantly predicted attitudes about the number of visits required to get LARC.
  
  
  CONCLUSIONS
  Barriers must be overcome for full implementation of professional LARC guidelines and for more women to receive chosen methods without the extra burden of multiple visits.
authors.affiliation: Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA 94118, USA. Electronic address: antonia.biggs@ucsf.edu.
authors.forename: M Antonia
authors.initials: MA
authors.lastname: Biggs
authors.forename: Abigail
authors.initials: A
authors.lastname: Arons
authors.forename: Rita
authors.initials: R
authors.lastname: Turner
authors.forename: Claire D
authors.initials: CD
authors.lastname: Brindis
mesh_terms: D000028:Abortion, Induced; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003120:Colorado; D003268:Contraception Behavior; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D004343:Drug Implants; D005193:Family Planning Services; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007484:Iowa; D008297:Male; D008486:Physician Executives; D011182:Postoperative Care; D011203:Poverty; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D013997:Time Factors; D000078329:Workforce
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants
keywords: Barriers to care; Colorado; Family planning; Iowa; Long-acting reversible contraception; Low income; Professional guidelines; Women